1. A
contract of insurance requires the highest standard of accuracy, good faith,
candour and disclosure by the insured when making a proposal for insurance to
an insurance company. It has become usual for an insurance company to whom a
proposal for insurance is made to ask the proposed insured to answer a number
of questions. Any misstatement in the answers given, when they relate to a
material matter affecting the insurance, entitles the insurance company to
avoid the policy and to repudiate liability if the event insured against
happens. But the correct answering of any questions asked is not the entire
obligation of the person seeking insurance: he is bound, in addition, to
disclose to the insurance company every matter which is material to the risk
against which he is seeking indemnity.
2. What
is to be regarded as material to the risk against which the insurance is
sought? It is not what the person seeking insurance regards as material, nor is
it what the insurance company regards as material. It is a matter or
circumstance which would reasonably influence the judgment of a prudent insurer
in deciding whether he would take the risk, and, if so, in determining the
premium which he would demand. The standard by which materiality is to be
determined is objective and not subjective. In the last resort the matter has
to be determined by the court: the parties to the litigation may call experts
in insurance matters as witnesses to give evidence of what they would have
regarded as material, but the question of materiality is not to be determined
by such witnesses.
3. The
test of materiality which is generally accepted in all forms of insurance
against risks when property of any kind is involved is stated in s. 18, sub-s.
2, of the Marine Insurance Act, 1906:-
4. Although
that test is stated in an Act which deals with marine insurance, it has been
accepted as a correct guide to the law relating to insurance against damage to
property or goods of all types.
5. The
rule to determine the materiality of a fact which has not been disclosed to an
insurer was expressed by MacKinnon L.J. with his customary pungency in
Zurich
General Accident and Liability Insurance
v.
Morrison
[1942]
2 K.B. 53
at
p.60 of the report:-
6. The
statement of Samuels J. in
Mayne
Nickless Ltd.
v.
Pegler
[1974]
1 N.S.W.L.R.
228
on
the law relating to the materiality of facts not disclosed to insurers was
approved and followed by the Judicial Committee of the Privy Council in
Marene
v.
Greater
Pacific Insurance
[1976]
2 Lloyds’s Rep. 631
Samuels
J.
7. In
January, 1976, the plaintiff company bought licensed premises at Ranelagh,
Dublin. The directors and shareholders of the plaintiff company were Mr. and
Mrs. Wootton. The directors decided to run the premises as a public-house and
also to have a cabaret entertainment. This made it necessary to build a larger
room at the back. There were furnishings in the existing room at the back and,
as the extension could not be built without removing them, the directors
decided to store them at No. 82 Lower Leeson Street, Dublin. These premises
were owned by Consolidated Investment Holdings Ltd. whose shares had been
purchased by Mr. Wootton and his business partner, Mr. Mockler, but had been
registered in the maiden names of their wives. Mr. Wootton and Mr. Mockler
intended to use the Leeson Street premises as a hotel and discotheque and, as
Mr. Wootton had been associated with a number of night clubs which had been
prosecuted for breaches of the licensing laws, the directors expected
considerable local opposition when their application for permission for a
change of user was made, if it became known that Mr. Wootton or his wife were
associated with Consolidated Investment.
8. The
insurance brokers who acted for Mr. Wootton were the second defendants. Mr.
Wootton had almost all his dealings with the defendant brokers through Mr. John
Harte, an employee of theirs. The defendant brokers placed the insurance of the
Leeson Street premises with the Sun Alliance and London Insurance Group and, in
the policy, those premises were described and it was stated that the property
was “at present unoccupied.” When the directors of the plaintiff
company decided to store their furnishings in the Leeson Street premises, Mr.
Harte advised them that further insurance cover on the furnishings was
necessary. An endorsement on the policy in connection with the furnishings
(valuing them at £15,000) was made. As the Leeson Street premises were
unoccupied, they were broken into by squatters almost nightly between November,
1975, and the happening of a fire on the 19th April, 1976. The squatters lit
fires and cooked there, but they left each morning before Mr. Wootton arrived.
9. The
Leeson Street premises and furnishings of the plaintiff company, which
Consolidated Investment held as bailees, were damaged badly in the fire. A
claim for malicious damage was lodged with the local authority and it was
compromised by an agreed award of £55,500. The plaintiff company was paid
£8,000 by Consolidated Investments who forwarded a Sun Alliance cheque for
that sum drawn in favour of the plaintiff company in respect of the
furnishings. The claim by Consolidated Investment against Sun Alliance was
handled by Corcoran Insurances Ltd. Mr. Mockler and Mr. Wootton were so
dissatisfied with the type of cover which the defendant brokers had negotiated
in connection with the Leeson Street premises that they had changed their
brokers and had given their business to Corcoran Insurances in December, 1975.
10. When
the plaintiffs bought the Ranelagh premises, they were insured with the General
Accident Insurance Co. Ltd. and this policy was renewed subsequently. The
principal in Corcoran Insurances advised Mr. Wootton that a different and wider
insurance cover was advisable in respect of the Ranelagh premises but, when
General Accident was asked to quote for this, that company increased by 50% the
premium which it would require. Mr. Wootton was most reluctant to pay such a
large increase and he decided to get his brokers to ask for tenders for the
insurance. The first defendants, who are an Italian insurance company, are
represented and carry on business in the Republic of Ireland through their
agents, International Underwriters Ltd., and they sent in the lowest tender.
11. Mr.
Harte had remained on friendly terms with Mr. Wootton and frequently called to
his premises. The plaintiffs wanted cover against fire risk, employer’s
liability, liability to the public and loss of profits. Separate proposal forms
for each type of insurance were sent by the defendant insurers and Mr. Harte
got these. On the 22nd February, 1978, Mr. Harte called to the
plaintiffs’ premises in Ranelagh with these proposal forms; they were
issued by International Underwriters. One form related to material damage. Mr.
Harte asked the questions necessary to enable the answers to the questions to
be filled in, and gave any other information required. It was not disputed by
anyone during the trial that the handwriting in which the answers appeared was
that of Mr. Harte. There was a discussion about the fire at the Leeson Street
premises and Mr. Harte said that it was totally unnecessary to disclose this on
the proposal forms because – as Mr. Wootton said – “we were
dealing with a separate company and only had to show what was relevant to the
Chariot Inn” (see transcript, 1st day – Q. 167). As there is a
question in this case as to who were the brokers who negotiated the policy with
the defendant insurers, it is important to note that Mr. Harte wrote
“Coyle Hamilton” on the forms.
12. In
the form dealing with material damage this appeared:- “Give claims
experience for loss over the last five years
(i.e.
date,
nature of loss, amount paid or outstanding. Brief details of how loss
occurred). If none in any class say so.” The answer, written by Mr.
Harte, was “None”. The defendant insurers subsequently issued
policies to the plaintiffs in respect of the various types of liability for
which the plaintiffs sought insurance cover, and in respect of indemnity
against material loss.
13. On
the 14th May, 1978, a serious fire occurred at the plaintiffs’ Ranelagh
premises and it caused extensive damage there. In June, 1978, the defendant
insurers repudiated liability because of the non-disclosure of the fire at the
Leeson Street premises. From the time of the Ranelagh fire, the defendant
insurers suspected that Mr. Wootton had set fire to the Ranelagh premises and,
during the hearing of the case, they stated that they would not have raised the
issue of non-disclosure if they had not suspected that this was a case of arson.
14. When
the defendant insurers repudiated liability, the plaintiffs brought this action
against them and claimed a declaration that the policy issued by the defendant
insurers, and providing for indemnity against material losses, was valid. As
against the defendant brokers, the plaintiffs claimed damages for breach of
contract and for negligence. The defendant insurers pleaded, amongst other
defences, that Mr. Wootton had set fire to the Ranelagh premises; they withdrew
this plea only at the end of the plaintiffs’ case.
15. The
trial judge accepted the evidence of Mr. Wootton in relation to the
circumstances in which the proposal form was completed, and he held that Mr.
Harte knew about the fire at the Leeson Street premises. Mr. Harte died
suddenly on the 9th April, 1978, shortly before the fire occurred at the
Ranelagh premises. The trial judge decided that the non-disclosure of the fire
at Leeson Street, of the fact that the plaintiffs’ furnishings were
stored at those premises, and of the plaintiffs’ receipt of £8,000
in respect of the damage to those furnishings, did not constitute a material
matter which the plaintiffs were bound to disclose to the defendant insurers.
Accordingly, he declared that the policy issued by the defendant insurers was
valid, and he dismissed the plaintiffs’ claim against the brokers.
16. There
has been a sustained attack on Mr. Wootton’s credibility and we have been
invited to reverse the trial judge’s finding that the proposals for
insurance were completed in the way Mr. Wootton described. Miss Keogh, Mr.
Wootton’s secretary, was in the room when Mr. Wootton was being
interviewed by Mr. Harte in connection with the completion of the proposal
forms and her evidence supported Mr. Wootton’s testimony. The trial judge
had the advantage of seeing and hearing the witnesses and, in these
circumstances, I am not prepared to differ from his findings as to Mr.
Wootton’s veracity. The question as to when an appellate court should
reverse a finding by the trial judge as to the credibility of a witness was
fully discussed by this Court in
Northern
Bank Finance
v.
Charlton
[1979]
I.R. 149
17. Three
experts on insurance business gave evidence. Their unanimous view was that the
fire at Leeson Street and the damage to the plaintiffs’ goods were
matters that were material to the risk which the defendant insurers were asked
to insure. Their opinions were not conclusive on this matter. The question
whether any of these matters were material is essentially an inference from
facts established by evidence.
18. The
circumstance that Mr. Wootton was a director of the plaintiff company and of
Consolidated Investment would not, of itself, make a fire on property owned by
Consolidated Investment a fact which was material to the risk undertaken by the
defendant insurers when they insured the plaintiff company against fire on its
premises. However, I think that it was material to the insurance effected by
the plaintiffs with the defendant insurers that goods belonging to the
plaintiffs were damaged by fire in premises owned by Consolidated Investment.
The answer to the query about claims made by the plaintiffs for loss over the
previous five years was literally correct but, though the plaintiffs had no
claim against Sun Alliance (who issued the policy in respect of the Leeson
Street premises), the plaintiffs were paid by Sun Alliance the sum negotiated
in respect of their stored furnishings. The circumstances in which the
plaintiffs’ goods were stored in the Leeson Street premises and the fact
that the plaintiffs ultimately got payment in respect of them were, in my view,
matters which would reasonably have affected the judgment of a prudent insurer
in deciding whether to take the risk or in fixing the premium, particularly as
Mr. Wootton was a director of, and managed and controlled, the plaintiff
company and Consolidated Investment.
19. It
was contended strenuously by counsel for the defendant brokers that the onus of
establishing that the matter not disclosed was material to the risk undertaken
lay on the defendant insurers and that, in order to discharge this onus, the
defendant insurers had to establish that the matter not disclosed did affect
(and not merely might have affected) their judgment. I accept the first part of
this proposition but not the second part. It is necessary to establish that the
fact which was not disclosed would have reasonably affected the judgment of a
prudent insurer if it had been disclosed. The second part of counsel’s
proposition contains the error which MacKinnon L.J. condemned.
20. The
plaintiffs and the defendant brokers placed strong reliance upon the renewal by
General Accident of the insurance on the Ranelagh premises after that company
had been informed of the fire at Leeson Street. The evidence on this matter is
not very clear. Mr. Corcoran said that, when the policy relating to the
Ranelagh premises was being renewed with the General Accident, he
“surmised” that he told that company of the fire at Leeson Street.
Mr. Shaw, an official of General Accident, recollected that Mr. Corcoran had
informed him of the fire at Leeson Street and said that he had passed on the
information to a senior official. The senior official did not give evidence and
Mr. Shaw’s evidence did not establish when this information was given to
him or the details which he was given. However, even if one assumes that Mr.
Corcoran gave Mr. Shaw all the information about the Leeson Street fire which
we now have, insurance companies may apply different considerations to taking
new risks and renewing policies.
21. In
my opinion, the plaintiffs’ action against the defendant insurers should
have been dismissed. I think that the appeal of the defendant insurers should
be allowed.
22. The
defendant brokers were acting as insurance brokers for the plaintiffs at the
time when the proposal for material damage was completed, and Mr. Harte was
their employee. An insurance broker owes a contractual duty to his client to
possess the skill and knowledge which he holds himself out to the public as
having, and to exercise this in doing the clients’ business. He is also
liable in tort if he fails to exercise that skill and knowledge. Mr. Harte
(whom the trial judge accepted to have been an experienced, competent, and
completely honest broker) should have known that the fire at Leeson Street and
the subsequent payment of £8,000 to the plaintiffs were material to the
risk which the defendant insurers were being requested to undertake. Therefore,
the brokers are liable to the plaintiffs in both contract and tort.
23. The
question of contributory negligence on the part of the plaintiffs was raised by
counsel for the brokers but, understandably, it was not pressed. Having given
the necessary facts in answer to questions put by the brokers’
representative, Mr. Harte (who read out the questions from the proposal form to
Mr. Wootton, who wrote in the answers, and who was told about the fire in
Leeson Street), the plaintiffs were entitled to rely on his skill and judgment;
and so it could not be held that they were guilty of contributory negligence.
24. In
my opinion, the plaintiffs are entitled to judgment against the defendant
brokers for such damages as the plaintiffs have sustained by the brokers’
breach of contract or negligence. I think that the case should be remitted to
the High Court for the assessment (by a judge alone) of the damages payable to
the plaintiffs by the defendant brokers.